William & Mary - Acceptiva

Designation: *

To give to multiple areas, enter the total amount in the “Gift Amount” field,
Select Other in the Designation Field, (it is the last choice in the drop down menu), then list the designations and the amount to each one in the Comment field.

Comments:

Donor ID Number:

This is the number located above your name and address,
that does not begin with the letters AP, on the solicitation
or statement if you received one.

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

New Address:

Check here if this is a new address.

Telephone:

E-mail: *

A receipt will be e-mailed to this address.

New Email:

Check here if this is a new email address.

If your employer has a matching gift program, please contact them to participate. The added matching gift dollars are greatly appreciated!

Class Year:

Affiliation:

Type of Payment:

Appeal Code: